* denotes mandatory fields.
First name *
Street Address *
Is the material located at the same location as listed above? *
If not, where is the material located?
What is the material that you would like to move from the property?
If "Other" enter details
How long have the materials been located on the property? *
What is the address of where the material is going? *
Contact name and phone for where the material is going *
When are you proposing to move the YCA material? *
I hereby declare that:
The information provided by me in this application form is, to the best of my knowledge and belief, true and correct in every particular; and I make this declaration in the knowledge that a person making a false declaration is liable to prosecution under the Oaths Act 1900 *.
Your information will be used in accordance with our Privacy statement.
We may contact you to discuss the set up of the NSW DPI Farm Tracker app and your participation in the project and will use your contact details to inform you when the NSW DPI Farm Tracker app is ready to download and use.